| NPI | 1679236756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A HAGAN Chief Operating Officer 602-920-5231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2021-10-15 |